Osteochondritis Dissecans Of The Knee
The Knee Center
at Modern Orthopedics of New Jersey
Paramus
72 Route 17 North
Paramus, NJ 07652
Wayne
2025 Hamburg Turnpike
STE C, Wayne, NJ 07470
Parsippany
3799 US-46
#207, Parsippany, NJ 07054
Osteochondritis dissecans (OCD) of the knee is an orthopedic condition characterized by the weakening or death of a localized area of bone at the end of the femur, just below the cartilage. If you or your child is experiencing knee pain, swelling, locking, or instability, OCD could be the underlying cause.
At Modern Orthopaedics of New Jersey, our leading specialists use the most advanced technology and techniques to definitively diagnose and treat OCD. Schedule an initial consultation today to learn more and take the first step toward full mobility and pain-free living!
Defining OCD Of The Knee
Osteochondritis dissecans (OCD) of the knee is an orthopedic condition in which reduced blood flow causes a localized area of bone and overlying cartilage to weaken or die. As the condition advances, fragments of bone and/or cartilage may separate and break loose within the knee joint, leaving behind a damaged area of bone known as an OCD lesion.
OCD can occur at any age, but at Modern Orthopaedics of New Jersey, we see it most commonly in young athletes between the ages of 10 and 20. Symptoms may include pain, swelling, a feeling of instability, and catching or locking of the knee joint.
Understanding What Leads To OCD
OCD occurs as a result of reduced blood flow to the end of the affected bone, but its exact cause remains unknown. The condition is often associated with overuse of the knee joint, suggesting that repeated micro-traumas to the bone may be a risk factor for impaired blood flow. Recent research also indicates that some individuals may have a genetic predisposition to OCD.
Adolescents and young adults involved in high-impact sports may be at increased risk of developing the condition.
Recognizing Signs Of OCD
The symptoms of osteochondritis dissecans of the knee vary from person to person and are often similar to those of other knee conditions/injuries, such as meniscus tears or patellofemoral pain syndrome (PFPS). For these reasons, it’s essential to have persistent knee pain evaluated by an experienced orthopedic specialist.
Common symptoms of OCD of the knee include:
- Knee pain that increases with activity
- Swelling and tenderness around the knee joint
- A feeling of popping, locking, weakness, or instability (“giving way”) in the knee
- Decreased range of motion in the knee joint
The condition is typically diagnosed through a combination of clinical examination and diagnostic imaging such as X-rays, MRI, or CT scans. Speak directly with your doctor to learn more.
Non-Surgical Treatments: Rehabilitation And Activity Modification
Many cases of OCD of the knee respond well to conservative treatment – particularly in younger patients whose bones are still developing. At Modern Orthopaedics of New Jersey, our specialists consider the scope and severity of damage to the bone, as well as whether there has been a partial or complete separation of the bone fragment, before developing a treatment plan.
Non-surgical treatment techniques for OCD of the knee include:
- Activity Modification – Taking extra time for rest and limiting engagement in high-impact activities can give damaged bone and cartilage an opportunity to heal.
- Physical Therapy – Working with a trained physical therapist often improves range of motion and effectively strengthens the muscles that support the knee joint.
- Joint Immobilization – In some cases, a brace or other immobilization device may be recommended to reduce stress on the bone lesion.
- Pain Management – Prescription or non-prescription pain/anti-inflammatory medications may help to improve symptoms of OCD of the knee. Take only as directed by your doctor.
Surgical Options: Criteria And Procedures
Surgical treatment may be considered for OCD of the knee in cases where:
- Symptoms are severe and persistent, even with conservative treatment
- The lesion is large
- A bone fragment has become loose and/or is caught in the moving parts of the knee joint
The type of surgery performed for OCD of the knee depends on the specifics of the case. Possible surgical techniques include:
- Internal fixation of unstable but salvageable bone fragments
- Debridement and removal of unsalvageable bone fragments
- Drilling and/or marrow stimulation to promote healthy bone growth
- Bone grafting (for larger lesions)
Speak with your orthopedic surgeon to explore which surgical intervention – if any – may be the right fit for you.
Recovery Process And Timeline
The recovery process and timeline following surgery for OCD of the knee depend on a variety of factors including the type of procedure performed, the size and stability of the lesion, and the age and activity level of the patient. It’s common for weightbearing to be restricted early in recovery and for a brace to be used for a period of time. With proper physical therapy and rehabilitation practices, most people can return to full activity within 4 to 9 months. Speak with your surgeon for more specifics.
Preventative Measures And Lifestyle Tips
At Modern Orthopaedics of New Jersey, we recommend the following preventative measures to reduce the likelihood of developing OCD of the knee:
- Avoid overuse of the knee joint
- Reduce repetitive, high-impact training
- Use proper technique
- Wear proper footwear and protective gear
- Participate in strength training and stability exercises
Preventative Measures And Lifestyle Tips
At Modern Orthopaedics of New Jersey, we recommend the following preventative measures to reduce the likelihood of developing OCD of the knee:
- Avoid overuse of the knee joint
- Reduce repetitive, high-impact training
- Use proper technique
- Wear proper footwear and protective gear
- Participate in strength training and stability exercises
Why Choose Our Clinic?
When you choose Modern Orthopaedics of New Jersey, you choose leading specialists at the top of their field, tailored knee treatments, and a patient-centered experience – all in a state-of-the-art environment. Contact us today to schedule your initial consultation and experience the Modern difference.
Scheduling An Appointment
Book your appointment here! We look forward to working with you.
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